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1093109803
LAUREN DUANE BUCKINGHAM
DECATUR, IL
NPI
1093109803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.005383)
Enumeration Date
2015-03-19
Last Update Date
2016-05-05
Business Address
-- LAUREN DUANE BUCKINGHAM PA-C
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-3000
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Mailing Address
-- LAUREN DUANE BUCKINGHAM PA-C
2025 E BELTLINE AVE SE STE 310
GRAND RAPIDS, MI 49546-7634
Phone number: 616-942-2222
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